Attach C Resident Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- Horse Show Floral Garlands
- Solicitation number
- RFB 758 2000000593 1
- Issued by
- Bath County, Kentucky
About this file
This document is a Required Affidavit for Resident Bidder Status for RFB 758 2000000593 issued by an unnamed bidding agency in Kentucky. The affidavit establishes the eligibility criteria that bidders, offerors, and contractors must meet to claim resident bidder status when competing for state contracts. Bidders must certify under penalty of perjury that their entity is authorized to transact business in the Commonwealth of Kentucky and has maintained continuous compliance with state requirements for the one-year period preceding contract advertisement. These requirements include filing Kentucky income taxes, making payments to the Kentucky unemployment insurance fund as established under KRS 341.49, and maintaining an active Kentucky workers' compensation policy throughout the specified timeframe.
The bidding agency reserves the right to request documentation from any bidder claiming resident status to verify compliance with these requirements. Failure to provide requested supporting documentation will result in bidder disqualification or contract termination. The affidavit must be signed by an authorized representative of the bidding entity, notarized, and include the affiant's printed name, title, date, company name, and address. This certification mechanism ensures that resident bidder preferences under KRS 45A.494(2) are claimed only by entities meeting all statutory requirements.
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Text version
Solicitation/Contract #: RFB 758 2000000593 REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS CLAIMING RESIDENT BIDDER STATUS
FOR BIDS AND CONTRACTS IN GENERAL:
The bidder or offeror hereby swears and affirms under penalty of perjury that, in accordance with KRS 45A.494(2), the entity bidding is an individual, partnership, association, corporation, or other business entity that, on the date the contract is first advertised or announced as available for bidding:
1. Is authorized to transact business in the Commonwealth;
2. Has for one year prior to and through the date of advertisement
a. Filed Kentucky income taxes;
b. Made payments to the Kentucky unemployment insurance fund established in KRS 341.49; and
c. Maintained a Kentucky workers’ compensation policy in effect.
The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of resident bidder status. Failure to provide such documentation upon request shall result in disqualification of the bidder or contract termination.
Signature
Printed Name
Title
Date
Company Name
Address
Subscribed and sworn to before me by
(Affiant)
(Title) of this _____day of ____________,20___.
(Company Name)
Notary Public
[seal of notary]
My commission expires:
File details come from the government source that posted it. Updated .